Slit-lamp examination was normal in both eyes and intraocular pressure was 15 mmHg in the right eye, 16 mmHg in the left eye. Best corrected visual acuity was 0.3 in his right and 0.2 in his left eye with Snellen testing. He denied any family history of similar ocular disorders. We aimed to present the results of fluorescein angiography, fundus autofluorescence imaging, optical coherence tomography, and electrophysiological tests in this rare case of posterior polar central choroidal dystrophy.Ī 52-year-old male patient had a 25-year history of decreasing vision in both eyes. The patient was diagnosed with posterior polar central choroidal dystrophy. Photopic and scotopic responses were subnormal in flash electroretinogram (ERG), and responses were also minimal in pattern ERG and multifocal ERG. Atrophy of the choriocapillaris and outer retinal layer were detected in optical coherence tomography. Fundus autofluorescence imaging showed clearly defined hypoautofluorescent areas that corresponded to the aforementioned lesions. On fluorescein angiography, the large choroidal vessels beneath these affected regions were easily seen. Fundoscopic examination showed bilateral symmetric atrophy of the retinal pigment epithelium and choriocapillaris in the posterior polar areas between vascular arcades and surrounding the optic disc. Best corrected visual acuity was 0.3 in his right and 0.2 in his left eye. A 52-year-old male presented with a 25-year history of decreasing vision.
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